Discover UP!

Who is filling out this form?

Myself (prospective student)

Parent or Supporter

School Counselor/Advisor

Other

For information about scheduling a campus visit, please contact us at visit@up.edu.

Number of attendees (including yourself)

School Counselor/Advisor Information

School Counselor/Advisor First Name

School Counselor/Advisor Last Name

I work with a:

School

CBO

School Name

CBO Name

School Counselor/Advisor Email Address

If you are visiting with any prospective students, please have each student register individually.

Student Contact Information

Student First Name

Student Preferred name (if different than listed above)

Student Last Name

Student Birthdate

Student Email Address

Student Mobile Phone

University of Portland may send text messages to this number.

Yes

Add a Parent/Support Contact
Note: Contacts will also receive a copy of all visit related emails.

Select to add parent/support person contact(s)

Student Mailing Address

Country

Street

City

Region

Postal Code

If you are an international student and would like an international admissions counselor to contact you regarding the application process as an international student, please check Yes below.

Yes

Parent/Supporter Information

Parent/Supporter First Name

Parent/Supporter Last Name

Relationship

Other

Parent/Supporter Email

Parent/Supporter Mobile Number

I would like to add a second parent contact

Parent/Supporter First Name

Parent/Supporter Last Name

Relationship

Other

Parent/Supporter Email

Parent/Supporter Mobile Number

Student Academic Information

Student Type

*If you have chosen transfer student, this indicates that you have taken college courses after high school graduation.

Planned Entry Term

Current School Name

High School Graduation Month & Year

Self-Reported GPA (on a 4.0 scale)

Academic Interest

Academic Interest 2

Academic Interest 3

Accessibility Accommodations

Do you need any accommodations during your visit? (If so, please request accommodations at least one week (5 business days) in advance to allow time to arrange and plan for support. Email visit@up.edu with questions.)

Wheelchair Accessibility

Mobility Assistance

Other Accommodation

To make sure we meet the needs of your mobility accommodation request, please detail what type of mobility assistance is needed for you or your guests:

Please provide details about accommodations needed during your visit:

Discover UP!

Links

Contact